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Please Photocopy this Form if Required
Registration FormKarachi: 29th - 30th October 2016
PLEASE USE CAPITAL LETTERSGroup Coordinator please fill Section A with the group coordinator and the remaining participants in Section B:
Section A: Group Coordinator Name NIC No. - -
E-mail:
Address:
Institution : Designation:
Phone (Office).:
Mobile.:
Individual Membership Institutional Membership Life Membership Non-Member Section B: Group Registration 1. Name
NIC No. - - E-mail:
Residential Address:
Phone (Office).:
Mobile.:
Individual Membership Institutional Membership Life Membership Non-Member 2. Name
NIC No. - - E-mail:
Residential Address:
Phone (Office).:
Mobile.:
Individual Membership Institutional Membership Life Membership Non-Member3. Name
SPELT Head OfficeSPELT House, 101, First Floor, Plot No. C-28, Khayaban-e-Ittehad, Lane 12, Phase II Ext DHA Karachi Tel: (0213) 3513731-3-4 & 0333-3754250 Email: [email protected] Website: www.spelt.org.pk
R. No.: ____________
32nd SPELT International Conference 2016
Please Photocopy this Form if Required
CASH should be paid in person at SPELT HouseCHEQUE and BANK DRAFTS should be drawn in favour of “SPELT”. They must be drawn in PAK Rs. only and can be mailed along with this formONLINE TRANSFERS should be in PAK Rs.Account Details:BANK-AL-HABIB (Khayaban-e-Ittehad)Branch Plot No C-28/C-30 Khayaban-e-Ittehad DHA Ph-II Ext)Acct. No.: 1102-0081-001165-02-6 Title: Society of Pakistan English Language Teachers (SPELT)Swift Code: BAHLPKKAXXX
When making a direct deposit, the original Deposit Slip must be sent with this completed registration form.OREmail the form along with the scanned copy of the Deposit Slip @ [email protected].
You are not registered for the Conference until this form is received together with the direct deposit slips.
ON-SITE REGISTRATIONS will be accepted in cash.
NIC No. - - E-mail:
Residential Address:
Phone (Office).:
Mobile.:
Individual Membership Institutional Membership Life Membership Non-Member
4. Name NIC No. - -
E-mail:
Residential Address:
Phone (Office).:
Mobile.:
Individual Membership Institutional Membership Life Membership Non-Member5. Name
NIC No. - - E-mail:
Residential Address:
Phone (Office).:
Mobile.:
Individual Membership Institutional Membership Life Membership Non-Member
Payment DetailsCash Cheque Pay order / Demand Draft Online Transfer
Date: Signature:__________________
Payment Procedure
SPELT Head OfficeSPELT House, 101, First Floor, Plot No. C-28, Khayaban-e-Ittehad, Lane 12, Phase II Ext DHA Karachi Tel: (0213) 3513731-3-4 & 0333-3754250 Email: [email protected] Website: www.spelt.org.pk
Registration Fee Members: Rs. 1200/- Non-members: Rs. 1500/- On-site Registration: Rs. 1800/- Registration Fee includes the following :
Conference Fee (Lunch not included) Conference Bag , name tag and programme Access to all Conference events and exhibit halls Hi Tea on Day 2
Registration fee is non-refundable and non-transferable.
WAYS TO SAVE! Membership: Save up to Rs.300/- for Conference registration by joining Spelt, receive all the great benefits of being a
Spelt Member. Group Discounts: Institutions can save up to Rs.300/- on each registration by registering ten or more attendees at the
same time. All registrations included in the group must be sent in at the same time.
Please Photocopy this Form if RequiredSPELT Head OfficeSPELT House, 101, First Floor, Plot No. C-28, Khayaban-e-Ittehad, Lane 12, Phase II Ext DHA Karachi Tel: (0213) 3513731-3-4 & 0333-3754250 Email: [email protected] Website: www.spelt.org.pk
Lunch will be
available on
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